Abstract
Idiopathic hypertrophic cranial pachymeningitis is a rare condition. A case of idiopathic hypertrophic cranial pachymeningitis presenting as Tolosa-Hunt syndrome is being reported. The importance of neuroimaging in patients with suspected Tolosa-Hunt syndrome is discussed. Tolosa-Hunt syndrome might represent a focal manifestation of Idiopathic hypertrophic cranial pachymeningitis. Future studies are necessary to further clarify the relationship between these two conditions.
MeSH terms
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Anti-Inflammatory Agents / therapeutic use
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Blepharoptosis / etiology
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Blepharoptosis / physiopathology
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Cavernous Sinus / diagnostic imaging
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Cavernous Sinus / pathology*
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Cavernous Sinus / physiopathology
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Diagnosis, Differential
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Diagnostic Errors / prevention & control*
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Dura Mater / diagnostic imaging
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Dura Mater / pathology*
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Dura Mater / physiopathology
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Female
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Humans
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Magnetic Resonance Imaging
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Meningitis / diagnosis*
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Meningitis / drug therapy
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Meningitis / physiopathology
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Middle Aged
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Oculomotor Muscles / innervation
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Oculomotor Muscles / physiopathology
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Oculomotor Nerve Diseases / etiology
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Oculomotor Nerve Diseases / physiopathology
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Ophthalmoplegia / etiology*
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Ophthalmoplegia / physiopathology
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Prednisone / therapeutic use
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Tolosa-Hunt Syndrome / diagnosis*
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Tomography, X-Ray Computed
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Treatment Outcome
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Trochlear Nerve Diseases / etiology
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Trochlear Nerve Diseases / physiopathology
Substances
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Anti-Inflammatory Agents
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Prednisone